MDS Project Data Entry Forms 2007/08

4. Hospital Support/Hospital Based Service

This section is about patients who received the services of a hospital palliative care team or hospital support nurse.

Please answer for the year 1/4/2007 to 31/3/2008.

All fields marked with * are mandatory. Use Tab Key or mouse to navigate through the fields. Do not use the Enter/Return key.


Enter your Data Set (MDS) Number here:*
(If you do not know your Data Set Number, please e-mail: mds@ncpc.org.uk giving your organisation name and postcode)

Organisation Name:*

If the service began during this period, give the date of opening here:

4.1	All patients
	Give the total number of patients receiving hospital support (HS) care during the year, whether new or existing referrals. Count each patient only once. (This number can be obtained from the number of new patients plus those seen for the first time during the year who were first registered in a previous year)

4.2	New patients total
	Give the number of new hospital support patients, i.e. those who received HS care for the first time ever during the year.

4.3	New patients - analysis
	Now give the number of new patients (adding up to 4.2 above) in these categories:

	c) Referral to HSN/HST at diagnosis or later
	At first diagnosis (even if advanced disease)
	Some time after diagnosis

Please check that each section of 4.3 totals to the figure you gave in 4.2 above

(Please note questions 4.3d and 4.4 have been dropped, but the numbering of subsequent parts remains the same for continuity from previous years.)

4.5	Hospital support contacts - total
	Give the total number of face-to-face contacts between HS staff and patients during the year.

4.6	Hospital support contacts - analysis
	Give the number of face-to-face contacts between HS staff and patients (adding up to 4.5 above) categorised according to the main staff member for each contact.
	Clinical nurse specialist
	Other registered nurse
	Nursing auxiliary or care assistant
	Social worker or counsellor
	Doctor
	Allied Health Professionals
	Other

4.7	Deaths and discharges
	a) Give the number of patients during the year (out of the total given in 4.1 above) who died while registered as receiving HS care
	b) Give the number of discharges from HS care during the year, i.e. periods of HS care which ended other than with the patient's death (see NOTE 1)

NOTE 1	The definition of discharge from the care of a hospital support service varies with local practice, and is not necessarily the same as discharge from the in-patient episode. If no formal discharge procedure applies, it may be appropriate to consider a patient discharged when there has been no contact of any kind for six months. Count the last contact recorded as the date of discharge.
NOTE 2	Count a one-off contact as a care episode with a length of one day.

4.8	Length of care episode
	Give the number of completed periods of HS care (adding up to 4.7a+b above) categorised according to the time from first contact to death or discharge.
	1 contact/1 day only (see NOTE 2)
	2 to 7 days
	8 to 14 days
	15 to 28 days
	29 to 42 days
	43 to 84 days
	85 days up to 6 months
	6 months and over

	i) Give the average (mean) length of period of HS care, defined as the average time in days from date of first contact to death or discharge (see NOTES 1 & 2 above)

4.9	Staffing
	Give the number of whole time equivalent (WTE) staff employed as part of the palliative care hospital support team. If the number has varied during the course of the year please calculate the average. Do not include other professionals who are not employed as part of the team.
	Clinical nurse specialist
	Other registered nurse
	Nursing auxiliary or care assistant
	Doctor
	Social Worker
	Allied Health Professionals
	Other

	Does this form record the work of the whole team or only some of the above staff? Please give details.

Your Details (Please complete all the fields marked with an asterisk)
Full Name* :
Email Address:	A copy of the completed form will automatically be sent to this email address.
Telephone: